Lesson 3.3: Dental Charting and Recording Flashcards

1
Q

A tooth, root, or implant used for support and retention; removable prosthesis

A

Abutment

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2
Q

Surgical removal of the apex of a root

A

Apicoectomy

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3
Q

The patient’s most significant symptom or sign

A

Chief Complaint

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4
Q

Removable replacement of maxillary and/or mandibular teeth

A

Complete Denture (CD)

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5
Q

Cast restoration covering the anatomical crown

A

Crown (Gold or Porcelain)

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6
Q

Deciduous Teeth

A

Primary Teeth; Baby Teeth

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7
Q

Amount of Deciduous Teeth

A

20 (Max-10/Man-10)

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8
Q

The lateral movement of tooth into space of missing, adjacent tooth; usually mesial movement

A

Drifted Teeth

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9
Q

Maxillary or mandibular teeth missing in the entire arch

A

Edentulous Arch

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10
Q

Surgical Removal

A

Extraction

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11
Q

Outside of the oral cavity

A

Extra-oral

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12
Q

Abnormal tube-like drainage from abscess to gingival surface

A

Fistula

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13
Q

Prosthetic teeth attached to natural teeth

A

Fixed Partial Denture (Bridge)

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14
Q

Cracked tooth

A

Fractured Tooth

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15
Q

Soft, yellow, corrosive-resistant metal indirect restorations

A

Gold Restoration

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16
Q

Inside the oral cavity

A

Intra-oral

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17
Q

Teeth surgically, traumatically, or genetically removed

A

Missing Teeth

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18
Q

Movement

A

Mobility

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19
Q

Filled/unfilled resins, glass ionomer, and sealants

A

Nonmetallic Permanent Restorations

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20
Q

Palpation of the oral cavity, head, and neck for abnormalities

A

Oral Cancer Screening (OCS)

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21
Q

Motivating patients to change behavior to recognize and prevent dental disease

A

Oral Health Instruction (OHI)

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22
Q

Artifical tooth in a bridge

A

Pontic

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23
Q

Thin porcelain fused to the facial surface of a metal crown

A

Porcelain Fused to Metal (PFM)

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24
Q

Indirect porcelain veneer bonded to a tooth

A

Porcelain Veneer

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25
Q

The process of withdrawal or wearing away from its normal location

A

Recession

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26
Q

Tooth filling

A

Restoration

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27
Q

Types of fillings

A
  1. Composite (tooth-colored resin)

2. Amalgam (mercury allow/silver filling)

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28
Q

Snake Eyes

A

Double Occlusal Pits

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29
Q

Root Canal Filling (RCF) Material

A

Gutta-percha is placed in canals

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30
Q

Extra Teeth (more than 32)

A

Supernumerary Teeth

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31
Q

Gutta-percha

A

A natural polymer prepared from latex from the Percha tree (Palaquium gutta)

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32
Q

Abbreviations Used In Dental Treatment Records:

Amal

A

Amalgam

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33
Q

Abbreviations Used In Dental Treatment Records:

BWX

A

Bite-Wing Radiographs

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34
Q

Abbreviations Used In Dental Treatment Records:

B/U

A

Build-up

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35
Q

Abbreviations Used In Dental Treatment Records:

FPD

A

Fixed Partial

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36
Q

Abbreviations Used In Dental Treatment Records:

Fl

A

Fluoride

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37
Q

Abbreviations Used In Dental Treatment Records:

Fx

38
Q

Abbreviations Used In Dental Treatment Records:

HQR

A

Health Questionnaire Reviewed

39
Q

Abbreviations Used In Dental Treatment Records:

Hx

40
Q

Abbreviations Used In Dental Treatment Records:

Mand

A

Mandibular

41
Q

Abbreviations Used In Dental Treatment Records:

Max

42
Q

Abbreviations Used In Dental Treatment Records:

Prophy

A

Prophylaxis

43
Q

Abbreviations Used In Dental Treatment Records:

RPD

A

Removal Partial Denture

44
Q

Abbreviations Used In Dental Treatment Records:

Temp

45
Q

Abbreviations Used In Dental Treatment Records:

Tx

46
Q

Abbreviations Used In Dental Treatment Records:

ZOE

A

Zinc Oxide and Eugenol

47
Q

Tooth Decay Classifications:

Small cavity or lesion affecting pits and fissures

48
Q
Tooth Decay Classifications:
Extension of class 1 cavity into proximal surfaces of premolars and molars
49
Q
Tooth Decay Classifications:
Interproximal surface (mesial and distal) of incisors and canines
50
Q

Tooth Decay Classifications:

Larger surface area, including incisal edge and the interproximal surface of incisors and canines

51
Q
Tooth Decay Classifications:
Near CEJ (Cemento-Enamel Junction); a cavity on the cervical third of the facial or lingual surface of a tooth; requires smooth restoration
52
Q

Periodontal Screening and Recording:

Reason behind it

A

Early detection of periodontal disease

53
Q

Periodontal Screening and Recording:

The Periodontal probing of sextants

A
  1. Max: right to left, then Mand: left to right (standard way)
  2. Deepest depth scored. Asterisk (*) denotes depth over 10mm
54
Q

Periodontal Screening and Recording:
PSR Score
No calculus, no bleeding present, and healthy gingiva

55
Q

Periodontal Screening and Recording:

Treatment for Code 0

A

Appropriate preventive care and possible dental cleaning

56
Q

Periodontal Screening and Recording:
PSR Score
No calculus and slight bleeding

57
Q

Periodontal Screening and Recording:

Treatment for Code 1

A

Plaque and calculus removal and OHI

58
Q

Periodontal Screening and Recording:
PSR Score
Moderate spontaneous bleeding; colored area of probe partly visible in deepest and probing depth

59
Q

Periodontal Screening and Recording:

Treatment for Code 3

A

Comprehensive perio exam and charting of the affected areas

60
Q

Periodontal Screening and Recording:
PSR Score
Spontaneous heavy bleeding; colored area of probe not visible

61
Q

Periodontal Screening and Recording:

Treatment for Code 4

A

Comprehensive perio exam and charting of the affected sextant or full mouth

62
Q

Periodontal Screening and Recording:

Where to record PSR

A

Assessment Section of NAVMED/13 (Dental Examination Form)

63
Q

TRUE OR FALSE:

NAVMED 6600/13 (Dental Examination Form) is a legal document

64
Q

NAVMED 6600/14

A

Continuation Form

65
Q

What information is inputted on NAVMED 6600/14

A
  1. Patient’s identifying information and treatment date
  2. Tooth #(s), Medical alert(s), and updated dental class
  3. All procedures; must be documented with dentist’s signature, printed and DTF stamp
66
Q

Charting and Recording Miscellaneous Dental Conditions:

Teeth Recommended for extraction

A
  1. Two Vertical Lines

2. AKA “railroad tracks”

67
Q

Charting and Recording Miscellaneous Dental Conditions:

Missing Teeth

A
  1. Put “X” on root(s)

2. Not clinically or radiographically visible

68
Q

Charting and Recording Miscellaneous Dental Conditions:

Partially Erupted

A
  1. Clinical Crown Partially Visible

2. Draw an arching line through the long axis of the tooth

69
Q

Charting and Recording Miscellaneous Dental Conditions:

Edentulous Arch

A
  1. Crossing lines each running from the uppermost aspect of one of the third molars to the lowermost aspect of the third molar on the opposite side
  2. Annual dental exams are required
70
Q

Charting and Recording Miscellaneous Dental Conditions:

Edentulous Mouth

A
  1. Inscribe crossing lines
  2. One from the maxillary right-third-molar to the mandibular-left-third molar and the other line from the maxillary left-third-molar to the mandibular-right-third molar
71
Q

Charting and Recording Miscellaneous Dental Conditions:

Removable Partial Denture (RPD)

A
  1. Place an “X” over the root of missing tooth/teeth and a horizontal line between teeth and numbers designating the teeth replaced by RPD
  2. Complete and removable partial dentures
  3. May be made of metallic compounds
  4. Improve chewing ability and appearance
72
Q

Charting and Recording Miscellaneous Dental Conditions:

Fixed Partial Dentures (FPD)

A
  1. AKA “Bridge”

2. Outline each (abutments and pontics) and inscribe diagonal parallel lines to indicate gold

73
Q

Charting and Recording Miscellaneous Dental Conditions:

Porcelain Fused to Metal (PFM)/Fixed Partial Denture (FPD)

A

Chart identical to composite and note material in remarks section

74
Q

Charting and Recording Miscellaneous Dental Conditions:

Porcelain Veneer

A
  1. Outline Facial Surface

2. Anterior Teeth Only

75
Q

Charting and Recording Miscellaneous Dental Conditions:

Crown

A
  1. Crown Materials

2. Use instead of large restoration

76
Q

Charting and Recording Miscellaneous Dental Conditions:

Gold Crown

A
  1. Outline each aspect of crown
  2. Draw horizontal lines in the outlined area
  3. Note material used in remarks section
77
Q

Charting and Recording Miscellaneous Dental Conditions:

Full Porcelain Crown (FPC)/Porcelain Fused to Metal Crown (PFM)

A
  1. Outline each aspect of crown
  2. Draw diagonal line across cervical lingual portion
  3. Note materials in remarks section
78
Q

Charting and Recording Miscellaneous Dental Conditions:

Root Canal Filling (RCF)

A
  1. Specialized filling
  2. Drawing line where root canal(s) would be normally located; from cervical area to apex
  3. Under filled root canal - vertical line from crown toward apex (showing extent of filling)
79
Q

Charting and Recording Miscellaneous Dental Conditions:

Temporary Restoration

A
  1. Draw an outline of the restoration showing size, location, and shape
  2. Describe material used the the remarks section
80
Q

Charting and Recording Dental Anomalies:

Apicoectomy

A
  1. Apex surgically removed

2. Draw a triangle on the root pointing away from the tooth

81
Q
Charting and Recording Dental Anomalies:
Deciduous Teeth (Primary Dentition)
A
  1. Lettered A - T

2. Circle alphabetical designation on Forensic and Current Status Form

82
Q
Charting and Recording Dental Anomalies:
Supernumerary Teeth (More than 32)
A
  1. Outline of tooth location

2. Insert “S” in location on Forensic Chart

83
Q

Charting and Recording Dental Anomalies:

Drifted Teeth

A
  1. Teeth move towards space of an extracted tooth

2. Draw an arrow from number of drifted tooth and arrow point towards drifting direction

84
Q

Charting and Recording Dental Anomalies:

Retained Root

A
  1. Horizontal line on root showing retention level
  2. “X” missing area
  3. If extraction is indicated, two parallel lines through the retained tip
85
Q

Charting and Recording Dental Anomalies:

Fractured Tooth

A
  1. Trace jagged fracture line

2. Place in a relative position on the crown or roots affected

86
Q

Charting and Recording Dental Anomalies:

Root Resorption

A
  1. Verify with radiographs

2. Draw a vertical line from the crown toward the apex showing the extent of the filling

87
Q

Charting and Recording Dental Anomalies:

Periodontitis and Alveolar Resorption

A
  1. An estimate of damage is made after a complete clinical and radiographic examination
  2. Draw a continuous line at the proper level across the roots of the teeth to indicate the extent of gingival recession
  3. Another continuous line at the level across roots of alveolar resorption
88
Q

Charting and Recording Dental Anomalies:

Periapical Abscess

A
  1. Abscess - open circle for accurate shape and size

2. Outline apex of the root(s)

89
Q

Charting and Recording a Forensic Examination:

Forensic Examination

A
  1. Preprinted on the inside back cover of the dental record

2. Green ink; existing dentition and conditions

90
Q

Charting and Recording a Forensic Examination:

When is it completed

A

Completed only once during the military member’s career, usually at accession

91
Q

Charting and Recording a Forensic Examination:

What happens if a replacement jacket or record is required

A

A new forensic exam will be completed

92
Q

Charting and Recording a Forensic Examination:

What is it used for

A

Identification